Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. TYMUR VIETROV M.D
NPI 1417871161
Student in an Organized Health Care Education/Training Program in Poughkeepsie, NY

Active since August 06, 2026
45 READE PLACE VASSAR BROTHERS MEDICAL CENTER, POUGHKEEPSIE, NY 12601(845) 790-1301 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tymur Vietrov M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TYMUR VIETROV M.D (NPI 1417871161) is an individual student in an organized health care education/training program in Poughkeepsie, New York and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1417871161
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. TYMUR VIETROVCredential: M.D
Location Address45 READE PLACE VASSAR BROTHERS MEDICAL CENTERPoughkeepsie, NY 12601
Mailing Address45 Reade Place Vassar Brothers Medical CenterPoughkeepsie, NY 12601 · (845) 790-1301
Sole ProprietorYes
Enumeration DateAugust 6, 2026
NPI 1417871161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
45 READE PLACE VASSAR BROTHERS MEDICAL CENTER, Poughkeepsie, NY 12601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tymur Vietrov's NPI number?

The NPI number for Tymur Vietrov is 1417871161. It was assigned to this individual provider in the NPPES registry on August 6, 2026.

Where is Tymur Vietrov located?

Tymur Vietrov practices at 45 Reade Place Vassar Brothers Medical Center, Poughkeepsie, NY 12601. The listed phone number is (845) 790-1301.

What is Tymur Vietrov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tymur Vietrov was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.